Job Summary
A company is looking for a Nurse Case Manager.
Key Responsibilities
- Conduct comprehensive assessments of referred members' needs and determine case resolution approaches
- Apply and interpret applicable criteria and guidelines while assessing benefits and member needs
- Utilize case management and quality management processes in compliance with regulatory standards and company policies
Required Qualifications
- RN with current unrestricted MO state licensure
- 2-3 years of clinical practice experience in a healthcare setting
- Experience in the healthcare and/or managed care industry
- Proficiency with computer skills, including navigating multiple systems
- High School Diploma or equivalent; Bachelor's Degree preferred
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